NPIMap

Organization Active NPI

Nebraska Urban Indian Health Coalition

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
National Provider Identifier
1083810980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
P-594 Issued in NE
Legal business name
NEBRASKA URBAN INDIAN HEALTH COALITION
Practice address
2240 Landon CT
Omaha, NE 68102-2414
Phone
(402) 346-0902
Fax
(402) 342-5290
NPI assigned
Jun 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda Lee Ticknor, AAS, PLADC
Title
Outpatient Marketing Coordinator
Phone
(402) 346-0902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X P-594 NE Primary

Addresses

Primary practice location

2240 Landon CT
Omaha, NE 68102-2414

Mailing address

10912 V St
Omaha, NE 68137-3730
Phone (402) 614-0585

National Provider Directory

National Provider Directory
Tax ID family
Nebraska Urban Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083810980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10912 V ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373730",
            "telephone_number": "402-614-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 LANDON CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022414",
            "telephone_number": "402-346-0902",
            "fax_number": "402-342-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA URBAN INDIAN HEALTH COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TICKNOR",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OUTPATIENT MARKETING COORDINATOR",
        "authorized_official_telephone_number": "402-346-0902",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AAS, PLADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "P-594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.